Myofascial Release-97140

Looking for some guidance. I am in a family practice office. We have a physician's assistant who is also a chiropractor, but is currently using his PA credential's in our office. He is doing myofascial release and manual traction. A couple of the secondary supervising physicians are DO's and the rest are MD's. If the supervision physician is comfortable co-signing the chart, is there a valid reason for this service to be non-billable? BTW-this is not an insurance issue, it's an auditing issue.

You need to check with your State licensing boards. Both the AMA and Osteopathic boards, actually. I'm sure the DO's might be covered to co-sign the notes but I'm not sure about the MDs. If he was using his chiropractor license, it would be no problem. Chiros use the PT/OT codes all the time. Not usually for the other docs.

I would also question the malpractice insurance. Will it cover him if he's performing these services under the MD and DO licenses?

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